Our Ministries
Vacation Bible School

Registration for YLPC Vacation Bible School 2007

July 21-25 from 3:30pm - 6:00pm. $20.00 per child. Ages 3 yrs old to 5th grade.

Child's Name:

Age:

Address:

City:

Zip Code:

Home Phone:

Mobile Phone:

E-mail:

Date of Birth: (mm/dd/yyyy)

Last Grade Completed:

Mother's Name:

Father's Name:

Allergies/Special Needs/Medical Conditions/Notes:

Home Church Name:

T-shirt Size:

YOUTH

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M
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ADULT

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Emergency Contact

Name:

Phone:

 

A "Permission and Medical Release Form" must be signed by a parent or guardian.
Please print a copy of this form by clicking on the above link.
After completing, sign and return to the Church Office.